重新审视结核区:神经影像学的不良预后发现

IF 0.8 Q4 CLINICAL NEUROLOGY
Himanshu Kaushal, Gourav Goyal
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引用次数: 0

摘要

中枢神经系统结核约占病例的 1-2%,但发病率和死亡率都很高。一名 37 岁女性患者因发热和头痛就诊 15 天,随后出现感觉改变,并伴有上肢和下肢(左侧>右侧)肌张力障碍。尽管经过两周的最佳抗结核治疗和其他支持性措施,但患者的病情仍在恶化。脑部核磁共振成像检查提示,患者右侧尾状核、内囊前肢、脑玄和丘脑前内侧存在弥散受限区域。患者最终不治身亡。结核区梗死预后不佳,可被视为结核性脑膜炎(TBM)患者发病率和死亡率的指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Revisiting the tubercular zone: A poor prognostic finding on neuroimaging
Central nervous system tuberculosis accounts for approximately 1–2% of cases but with a high morbidity and mortality burden. A 37-year-old female presented with fever and headache for 15 days followed by altered sensorium with associated dystonic posturing of both upper limbs and lower limbs (left>right side). The patient’s condition deteriorated despite optimal antitubercular treatment and other supportive measures for two weeks. An MRI brain was suggestive of areas of diffusion restriction in the right caudate nucleus, anterior limb of internal capsule, genu, and anteromedial thalamus. The patient ultimately succumbed to death. Tubercular zone infarctions carry an ominous prognosis and can be considered an indicator of morbidity and mortality in patients with tuberculous meningitis (TBM).
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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
129
审稿时长
22 weeks
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